Meulage amlaire interproximal Stripping www.orthofree.com 1-Historique Les annes

Meulage amlaire interproximal Stripping www.orthofree.com 1-Historique Les annes

Meulage amlaire interproximal Stripping www.orthofree.com 1-Historique Les annes 80: Stripping :prvention des rcidives dans la zone incisive

mandibulaire. SHERIDAN 1985 : l'Air Rotor Stripping ARS - les deux arcades - Secteurs latraux ,puis si ncessaire les zones antrieures. Et correction des carts entre les dents infrieures et suprieures ,DDD

- procdure de traitement part entire, - Le stripping permet selon son auteur de rsoudre des dysharmonies dento-maxillaires de 4 8 millimtres ,sans extraction, ni expansion. 2- Avantages Gain d'espace DDM de 6 8 mm, Les extractions de

prmolaires est regrettable (perte de - 30 mm de tissus dentaires) Diminution de la dure du traitement, La Transformation des points de contact en

surfaces de contact s'opposant la rcidive. Le stripping vite le risque d'apparition des zones triangulaires inesthtiques 3-Les inconvnients

La crainte de favoriser lapparition des maladies parodontales et des caries , Rapprochement des racines dentaires sur les dents antrieures

la rduction amlaire entrane l'apparition de sillons et de rayures difficiles supprimer au polissage ! Marches descalier dans la zone gingival 4-Plan de meulage

Examen clinique: tenir compte des formes anatomiques et des contraintes parodontales Etude des Moulages des Radiographies panoramiques et inter proximales et long cne

Faire un SET UP la rduction passe par tape , - Meulage , - Remodelage , - Protection

5-la squence instrumentale Pour les incisives et canines mandibulaires ( 0,20 mm par face) - rduction : disque diamant grains fins - plissage : strip ou disque polir Pour les incisives et canines maxillaires (limite 0,30 mm par face) rduction disque diamant grains fins ou fraise diamante

fine polissage strip ou disque polir ou fraise en carbure de tungstne Pour les prmolaires et molaires maxillaires et mandibulaires (limite 0,6 mm par face) - rduction fraise en carbure de tungstne (699 L)

- polissage fraise en carbure de tungstne (8, 16 et 30 lames) Jauge-Pieds coulisse les Disques et bandes diamantes. Grande largeur perfor Extra fine , fine Medium Pice main, fraises diamantes Pointe

mousse fine 6-La technique de rduction : On utilise Le stripping vitesse lente avec les disques diamants ou bandes ultra fines abrasif dun cot Rduction

La tendance gnrale est de considrer que la quantit limite de rduction correspond la moiti de l'paisseur de l'mail. SHERIDAN suggre d'liminer sans danger: 0,8 millimtre pour les zones latrales

0,25 millimtre sur les dents antrieures Soit un gain total de 8,9 millimtres la mandibule . Et de 10,2 millimtres au maxillaire

Le maximum de rduction estim sur chaque face est compris entre 1 mm et 1/10 de mm Mouvements tangentiels pour briser les contacts interproximaux Ne pas crer de marches descalier dans la zone

gingivale. Protection des lvres et du tissus mou Pour doubler lpaisseur d'mail rduite, formez une boucle avec la bande . Utilisez cette boucle comme poigne pour tirer la bande entre les dents.

Polissez la surface interproximale l'aide de bandes diamantes Vrifiez limportance de la rduction avec les jauges d'paisseur. Minor Tooth Movement for Crowded Mandibular Teeth Gary Davidowitz, Protection

Le polissage :disque de papier , brosses , ptes au fluor , meules , Gel et bains fluors , dentifrices bifluors permettent de favoriser la reminrisalisation Deux application annuelles dun Vernis protecteur base de fluor ,Fluor Protector Surface de lemail physiologique

Surface de lEmail aprs stripping Surface de lemail aprs polissage MARCIN MIKULEWIActa of Bioengineering and Biomechanics Vol. 9, No. 1, 2007CZ 7-Cas clinique 1 Aldo Giancotti

Cas N2 -Set up Mesure et rduction Avant et aprs stripping Cas n3 , Minor

Tooth Movement for Crowded Mandibular Teeth Gary Davidowitz, Bibiographie

SHERIDAN J J air rotor stripping update : j clin orthod 19 : 43-58,1985 Altounian G.,Philippe j.,Chabre C .,lorthodontie de ladulte S.I.D paris 1989. George SKINAZI. . Stripping la turbine : une alternative lextraction - Air-rotor stripping Jarjoura K, Gagnon G, Nieberg L: Caries risk after interproximal enamel reduction. Am J Orthod Dentofacial Orthop 130:26-30, Gary Davidowitz, Minor Tooth Movement for Crowded Mandibular Teeth Dr Yumeng Deng, Dr Martine C Boisson, Dr Rupert R Gildenhuys and Prof Urban Hgg Dental Asia July / August 2005Lingual gingival recession associated with imprecise stripping: P. Emile Rossouw, Andrew Tortorella, , Techniques de rduction de lmail en orthodontie Juin 2003, Vol.

69, N 6 Journal de lAssociation dentaire canadienne MARCIN MIKULEWICZ SEM and profilometric evaluation of enamel surfaceafter air rotor stripping Acta of Bioengineering and Biomechanics Vol. 9, No. 1, 2007 LAMONT R.. GHOLSTON, DIAGNOSTIC CAST SET-UPS: AN INVALUABLE TECHNIC PARK DuVALLE COMMUNITY HEALTH CENTER LOUISVILLE, KENTUCKY http://www.brasseler.de/uploads/media/402464V0_02.pdf http://www.ortodoncia.ws/ publicaciones/2004 / ortodoncia_ brackets_alineadores_invisibles.asp http://www.sdsjournal.org/2007/volume-19-number-1/2007-19-1-15-20-full.html http:// www.oc-j.com/june01/ Ross fr .htm http:// www.angle.org /anglonline/? Request = get-document& iss n=00033219&volume=076&issue=06&page=1066#i0003-3219-076-06-1066-f04

http://www.jco-online.com /archive/article -view.aspx? year=2000& month=04& articlenum =203 http:// www.invisaligncec.jp/ research/ pdfs/ mcnamara.pdf http:/ /www. brasseler.de/uploads/media/402464V0_02.pdf http:// www.sso.ch/doc/ doc_ download.cfm? Uuid =8823B105D9D9424C4078BAC04F94E07B http:// www .lyre -jet.com/corps4.htm http:/ / www. orthonj.com / ARSDEF.html http:// www. cda-adc.ca/ jadc /vol-69/issue-6/378.pdf http:// www.angle.org/ anglonline /? Request =get -document& issn =00033219&volume=077&issue=03&page=0478 http:// www.angle.org/anglonline/?request=get-document&issn=00033219&volume=077&issue=06&page=1004#i0003-3219-077-06-1004-f01 http:// www.ncbi.nlm.nih.gov/sites/entrez?db=p ubmed& uid =10356483& cmd= showdet ailview &i ndexed=

google http:// www .actabio .pwr. wroc.pl/Vol9No1/2.pdf http://www. dentalasia.net/ DA _archive/JulAug05/Lingual%20Gingival%20Recession.pdf http://www.find-health- articles .com /rec_pub_17652864-guidelines-contemporary-air-rotor-stripping.htm stripping Pour faire rentrer Oblix dans cette maison gauloise

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